Relationships between self-reported childhood traumatic experiences, attachment style, neuroticism and features of borderline personality disorders in patients with mood disorders

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Baryshnikov , I , Joffe , G , Koivisto , M , Melartin , T , Aaltonen , K , Suominen , K , Rosenstrom , T , Naatanen , P , Karpov , B , Heikkinen , M & Isometsa , E 2017 , ' Relationships between self-reported childhood traumatic experiences, attachment style, neuroticism and features of borderline personality disorders in patients with mood disorders ' , Journal of Affective Disorders , vol. 210 , pp. 82-89 . https://doi.org/10.1016/j.jad.2016.12.004

Title: Relationships between self-reported childhood traumatic experiences, attachment style, neuroticism and features of borderline personality disorders in patients with mood disorders
Author: Baryshnikov, Ilya; Joffe, Grigori; Koivisto, Maaria; Melartin, Tarja; Aaltonen, Kari; Suominen, Kirsi; Rosenstrom, Tom; Naatanen, Petri; Karpov, Boris; Heikkinen, Martti; Isometsa, Erkki
Contributor organization: Department of Psychiatry
Clinicum
University of Helsinki
Department of Psychology and Logopedics
HUS Psychiatry
Date: 2017-03-01
Language: eng
Number of pages: 8
Belongs to series: Journal of Affective Disorders
ISSN: 0165-0327
DOI: https://doi.org/10.1016/j.jad.2016.12.004
URI: http://hdl.handle.net/10138/234695
Abstract: Background: Co-occurring borderline personality disorder (BPD) features have a marked impact on treatment of patients with mood disorders. Overall, high neuroticism, childhood traumatic experiences (TEs) and insecure attachment are plausible aetiological factors for BPD. However, their relationship with BPD features specifically among patients with mood disorders remains unclear. We investigated these relationships among unipolar and bipolar mood disorder patients. Methods: As part of the Helsinki University Psychiatric Consortium study, the McLean Screening Instrument (MSI), the Experiences in Close Relationships-Revised (ECR-R), the Short Five (S5) and the Trauma and Distress Scale (TADS) were filled in by patients with mood disorders (n=282) in psychiatric care. Correlation coefficients between total scores of scales and their dimensions were estimated, and multivariate regression (MRA) and mediation analyses were conducted. Results: Spearman's correlations were strong (rho=0.58; p <0.001) between total scores of MSI and S5 Neuroticism and moderate (rho=0.42; p <0.001) between MSI and TADS as well as between MSI and ECR-R Attachment Anxiety. In MRA, young age, S5 Neuroticism and TADS predicted scores of MSI (p <0.001). ECR-R Attachment Anxiety mediated 33% (CI=17-53%) of the relationships between TADS and MSI. Limitations: Cross-sectional questionnaire study. Conclusions: We found moderately strong correlations between self-reported BPD features and concurrent high neuroticism, reported childhood traumatic experiences and Attachment Anxiety also among patients with mood disorders. Independent predictors for BPD features include young age, frequency of childhood traumatic experiences and high neuroticism. Insecure attachment may partially mediate the relationship between childhood traumatic experiences and borderline features among mood disorder patients.
Subject: Depressive disorders
Bipolar disorders
Borderline personality disorder
Attachment
Childhood abuse
Neuroticism
Mediational analysis
POSTTRAUMATIC-STRESS-DISORDER
MAJOR DEPRESSIVE DISORDER
NATIONAL EPIDEMIOLOGIC SURVEY
MCLEAN SCREENING INSTRUMENT
SEXUAL-ABUSE
ADULT ATTACHMENT
5-FACTOR MODEL
AXIS-I
DEVELOPMENTAL MODEL
TRAIT MEASUREMENT
3112 Neurosciences
3124 Neurology and psychiatry
3123 Gynaecology and paediatrics
Peer reviewed: Yes
Usage restriction: openAccess
Self-archived version: publishedVersion


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